NCT04291417

Brief Summary

The purpose of this study is to demonstrate that addition of the Monocyte Width Distribution (MDW) parameter to current standard of care improves a clinician's ability to recognize sepsis in the Emergency Department, resulting in earlier decision to administer antibiotics from time of ED presentation for sepsis patients (simulated primary endpoint), with concomitant reductions in length of stay and in-hospital mortality for those patients (secondary endpoints).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,700

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2019

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 20, 2019

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

February 21, 2020

Completed
10 days until next milestone

First Posted

Study publicly available on registry

March 2, 2020

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 14, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 17, 2020

Completed
Last Updated

January 28, 2021

Status Verified

January 1, 2021

Enrollment Period

6 months

First QC Date

February 21, 2020

Last Update Submit

January 26, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Potential reduction of Time to Antibiotics

    Validate MDW's ability to reduce time to first antibiotics ordered by physician (decision to treat)-Simulated

    12 hrs after ED presentation

Secondary Outcomes (1)

  • Performance

    12 hrs after ED presentation

Other Outcomes (3)

  • Health & Economic Benefits for Time to Antibiotics - Simulated

    12 hrs after ED presentation

  • Health & Economic Benefits for Hospital Stay - Simulated

    12 hrs after ED presentation

  • Health & Economic Benefits for Mortality - Simulated

    12 hrs after ED presentation

Study Arms (1)

CBC-Diff Monocyte Volume Width Distribution

MDW measurement used to detect sepsis. Results will not be used to manage patients.

Diagnostic Test: CBC-DIFF Monocyte Volume Width Distribution (MDW)

Interventions

MDW measurement used to detect sepsis. Results will not be used to manage patients.

CBC-Diff Monocyte Volume Width Distribution

Eligibility Criteria

Age18 Years - 89 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

All adult patients presenting to the ED where a CBC-Diff has been ordered by standard of care

You may qualify if:

  • Adult (18 to 89 years)
  • All race and ethnicities
  • Presenting to the emergency department with suspicion of infection
  • Whose assessment includes a CBC with differential
  • Meets EMR Sepsis Definition

You may not qualify if:

  • Pregnancy
  • Prisoners
  • Transfers from other ED
  • Previously enrolled

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Baylor Scott & White MEdical Center

Temple, Texas, 76508, United States

Location

MeSH Terms

Conditions

SepsisDiseaseEmergencies

Condition Hierarchy (Ancestors)

InfectionsSystemic Inflammatory Response SyndromeInflammationPathologic ProcessesPathological Conditions, Signs and SymptomsDisease Attributes

Study Officials

  • Amin A Mohammad, Ph. D

    Baylor Scott & White Medical Center, Temple

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 21, 2020

First Posted

March 2, 2020

Study Start

November 20, 2019

Primary Completion

May 14, 2020

Study Completion

June 17, 2020

Last Updated

January 28, 2021

Record last verified: 2021-01

Locations